Breast reduction, also known as reduction mammoplasty, is a surgical procedure aimed at reducing the size and volume of the breasts by removing excess breast tissue, fat, and skin. This procedure is often performed to alleviate physical discomfort, improve posture, and enhance the overall appearance of the breasts. The protocol for breast reduction typically involves the following steps:
1. an online consultation thanks to photos and or online video consultation.

2. a quote taking into any volume wishes, nipple placement and or lifting

3. Laboratory tests before the procedure, usually the day before: pre-operative assessment: Prior to surgery, the patient undergoes a comprehensive medical evaluation, including a physical examination and possibly additional tests such as blood tests, mammograms, or breast imaging studies. This assessment helps ensure that the patient is in good overall health and a suitable candidate for breast reduction surgery.

4. Breast reduction surgery is typically performed under general anesthesia to ensure patient comfort throughout the procedure. The surgeon makes incisions in predetermined locations, such as around the areola, vertically down from the areola to the breast crease, and horizontally along the breast crease, creating an anchor-shaped or inverted-T pattern. Through these incisions, the surgeon removes excess breast tissue, fat, and skin, reshapes the breasts, and repositions the NAC to a higher and more youthful position. Once the desired breast size and shape are achieved, the surgeon closes the incisions using sutures or surgical adhesive and applies sterile dressings or surgical tape to protect the incision sites. Some surgeons may also use drains to remove excess fluid and minimize post-operative swelling.

5.Post operation: After the surgery, the patient will be monitored in a recovery area until they are fully awake and stable. They may experience mild to moderate discomfort, swelling, and bruising in the breasts, which can be managed with pain medication, compression garments, and cold compresses. The patient will be provided with post-operative instructions, including guidance on wound care, activity restrictions, and follow-up appointments.

Usually step 1 and 2 are done remote - step 3 and 4 are the procedure steps and 1 night in clinic is included in the medical quote - step 5 is between end of the procedure and monitoring period that lasts between 2 to 6 according to each clinic protocol. These days are spent in hotel and after that you can leave and go back home once you are discharged by your surgeon.

Breast reduction surgery is a highly effective treatment option for reducing the size and volume of large breasts and alleviating associated physical and psychological symptoms.

Lithuania has a reputed healthcare system with more than 85 large clinics and hospitals. All types of treatment are covered and its heathcare system is well organized. It is in Vilnius that most large hospitals are concentrated though in Kaunas and Palanga you may find some good clinics. Plastic surgery and dental centers are well developped with fair offers.